This paper presents and discusses data from three of the qualitative questions in the international COVID-19 survey: What was the most important aspect of spiritual care that was lost during the pandemic? What was new to you during this pandemic? What are the new ways of delivering spiritual care you have experienced? Of these new experiences, what do you think was the most effective?
Chaplain leadership may have played a pivotal role in shaping chaplains’ roles in health care amidst the COVID-19 pandemic. We convened an international expert panel to identify expert perception on key chaplain leadership factors. Six leadership themes of professional confidence, engaging and trust-building with executives, decision-making, innovation and creativity, building integrative and trusting connections with colleagues, and promoting cultural competencies emerged as central to determining chaplains’ integration, perceived value, and contributions during the pandemic.
“If it is not charted: it did not happen.” The charting of healthcare chaplaincy contacts in patient files has been controversially discussed in the literature in recent years. In particular, entries in digital medical records raise questions among pastoral care managers about confidentiality, data protection regulations and managerial interests.
The European White Paper on charting in healtcare chaplaincy argues that charting chaplaincy contacts with patients and relatives (1) makes their spiritual needs visible, (2) contributes to improved interprofessional communication about chaplaincy and (3) makes the work of chaplains transparant. Charting improves the quality of care for patients, promotes the professionalism of chaplaincy and facilitates interdisciplinary exchange and multi-professional cooperation. It should be noted that entries in patient files should be made as if the patient were reading them. Descriptions must be adequate, understandable and concrete: The reason for the contact, assessment, changes resulting from the contact, interventions made and further planning are five steps of patient-centred pastoral care documentation. They respect patient rights and the principles of clinical ethics. In each case, questions of the software used, access rights and the use of the collected data material need to be clarified.
The documentation of chaplaincy contacts can improve the relationship between patient and chaplain if it is included in the care. Last but not least, chaplaincy charting creates a data basis for practice-oriented research and training and for the development of the profession.
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